David J Bitzer MD LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036081888 Issued in IL

Legal business name

DAVID J BITZER MD LLC

Practice address

2930 Montvale Dr
Ste C
Springfield, IL 62704-5393

Phone

(217) 726-8252

NPI assigned

Oct 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David J Bitzer, M.D.

Title

Sole Owner

Phone

(217) 726-8252

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1295139111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 MONTVALE DR",
            "address_2": "STE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045393",
            "telephone_number": "217-726-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 MONTVALE DR",
            "address_2": "STE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045393",
            "telephone_number": "217-726-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J BITZER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "BITZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "217-726-8252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "036081888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081888",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noor Sameh Darwich, MD
• Pranuthi Ratna Dasari, MD
• Acacia Dasher, DO
• Ashima Datey Chakrabarty, MD
• Timothy Daugherty, M.D.
• Emily A Davidsmeier, FNP-BC
• William Michael Davin
• Davis Advance Care Advocacy
• Aiyana Davis
• Amanda Rhae Davis, LCPC

• Urology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.